Organization
MONTEZUMA FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CARTER D.D.S (DENTIST)
(928) 202-4787
Entity
Organization
Contact information
Practice address
4283 N PIMA WAY, LAKE MONTEZUMA, AZ 86342
(928) 202-4787
(928) 233-6904
Mailing address
PO BOX 5682, LAKE MONTEZUMA, AZ 86342-5682
(928) 202-4787
(928) 233-6904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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